Please print
and complete this form and mail it along with your donation to:
Habitat for Humanity International
Attn: Gifts From The Heart
121
Habitat Street
Americus, GA 31709-3498
To send a gift card, please complete this form and mail to the above
address.
You may also fax this form to Gifts From the Heart at
(229) 928-5577
Be sure to enclose your check or your credit card information.
RECIPIENT INFORMATION
Name: ______________________________________________
Address: ____________________________________________
___________________________________________________
City: _______________________________________________
State: ________________ Zip: __________________________
DONOR INFORMATION
Name: ______________________________________________
Address: ____________________________________________
___________________________________________________
City: _______________________________________________
State: ________________ Zip: __________________________
E-Mail Address:_______________________________________
PLEASE INDICATE:
Type of gift card (please circle):
|
Enclosed is my check for $_________
Please charge my gift of $_________
Visa / Mastercard / American Express / DiscoverAccount No. ___________________________________
Exp. Date ___________
Signature _____________________________________
Phone Number ________________________________
Please make checks payable to Habitat for Humanity International.
All gifts are tax-deductible to the extent allowable by law.
For more information, call 1-800-422-4828 (1-800-HABITAT).
Habitat for Humanity International makes every effort to honor your designation; however Habitat reserves the right to apply funds to another purpose if in the sole judgement of the Board of Directors of HFHI, the original designation becomes, in effect unnecessary, incapable of fulfillment, or inconsistent with the charitable needs of the community or area served.
Form #201w02